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The Affinity Fusion Oxygenator with Integrated Arterial… recallZ-0531-2015 · Medtronic Perfusion Systems · initiated Oct 31, 2014

Class II Terminated All recalls posted in December 2014

Is my device affected?

  1. Compare the model, catalog and lot or serial numbers on your device or its packaging with the code information below. A recall usually covers only specific models or lots.
  2. If yours is listed, follow the instructions from Medtronic Perfusion Systems or your healthcare provider. The company's action is summarized under what the company is doing.
  3. Do not stop using a prescribed or implanted device on your own — talk to your healthcare provider first.

Where to find your model and lot numbers · What recall classes and statuses mean

Why it was recalled

Medtronic initiated an Urgent Medical Device Recall for 66 distributed Affinity FusionTM Oxygenation Systems with Carmeda Bioactive Surface due to damaged heat exchangers. Product affected by this issue is limited to model CB841 sold stand alone or incorporated in Total Systems TS1614R1 and TS1595R7. UPDATED: Recall was updated to incorporate three additional lots affected.

FDA root cause category: Process control

What the company is doing

On October 31, 2014, Medtronic field representatives began verbally notifying consignees of the issue, requesting the quarantine and return of un-used, affected product. As a follow-up to these verbal notifications, on November 12, 2014, a Medtronic "Urgent Medical Device Recall" letter dated November 2014 was hand delivered by Medtronic field personnel, and was also sent to account risk managers via UPS. The letter described the problem, the product affected by the recall and actions to be taken. Consignees were asked to immediately quarantine, remove and return all affected product to Medtronic; contact customer service at 1-800-854-3570 to initiate a return, and complete and return the attached Customer Confirmation Certificate via email to: [email protected] or fax to: Medtronic at 651-367-0612 to the attention of Customer Focused Quality. For questions they can contact their Medtronic sales representative or Lifeline Technical Services at 1-877-526-7890. UPDATE: Consignees were hand delivered an updated letter dated March 2015 concerning the additional affected product.

Recall details

Recall number
Z-0531-2015
Recall class
Class II
Status
Terminated
Initiated by the company
Oct 31, 2014
Posted by the FDA
Dec 16, 2014
Recalling firm
Medtronic Perfusion Systems
Quantity
66, UPDATE: 168 additional devices.
Product code
DTZ
FDA submissions
K123314, K132972
Distribution
US Distribution to states of: CA and FL. UPDATED: OUS: Czech Republic and Switzerland.

Product description

The Affinity Fusion Oxygenator with Integrated Arterial Filter and Carmeda Bioactive Surface is a single-use, microporous, hollow-fiber, gas-exchange device with plasma resistant fiber and integrated heat exchanger and arterial filter. The oxygenator is bonded on its primary blood contacting surfaces with a non-leaching biocompatible surface to reduce platelet activation and adhesion and preserve platelet function. The device is non-toxic, nonpyrogenic, and supplied sterile in individual packaging.

Code information (models, lots, serial numbers)

Show the full code information (1k characters)

Lot number 12981001 with the following Serial Numbers:  8110138055 8110141155 8110141281 8110141459 8110138056 8110141162 8110141304 8110141469 8110138061 8110141167 8110141305 8110141471 8110138096 8110141168 8110141315 8110141497 8110139306 8110141182 8110141320 8110141518 8110139330 8110141184 8110141331 8110141527 8110139856 8110141188 8110141335 8110141533 8110140819 8110141193 8110141342 8110141587 8110140824 8110141215 8110141368 8110141604 8110140985 8110141219 8110141380 8110141605 8110141045 8110141222 8110141391 8110141613 8110141082 8110141230 8110141403 8110141616 8110141083 8110141238 8110141415 8110141621 8110141114 8110141240 8110141416 8110141705 8110141119 8110141244 8110141418 8110141731 8110141127 8110141247 8110141421 8110141739 8110141128 8110141253 8110141423 8110141750 8110141138 8110141258 8110141431 8110141782 8110141142 8110141260 8110141445 8110141788 8110141153 8110141279 8110141452 8110141798  UPDATED:  Lot # 13011880, 13 (serial # 8110141520), 13023057 (Serial # 8110141435 and 8110141539).

Other devices under the same FDA submission

1 device cleared under K123314, K132972 — the recall does not name any of them by identifier. One submission often covers many models, so they may or may not be affected.

Sources and updates

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